Denture Stomatitis Management — ORE Part 1 MCQ

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EasyProsthodonticsDenture Stomatitis ManagementORE Part 1

A 60-year-old woman presents with generalised erythema of the palatal mucosa beneath an upper complete denture. She wears the denture overnight. Candida albicans is identified on a swab. In addition to prescribed antifungal treatment, which advice is most important?

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Correct answer: E — Remove the denture overnight and soak it in denture-cleaning solution

Explanation lettering: D = shown as A · E = shown as B · B = shown as C · C = shown as D · A = shown as E

A is correct. Continuous denture wear, particularly overnight, promotes a moist, plaque-retentive environment beneath the fitting surface and is an important modifiable factor in denture-associated candidal stomatitis. The denture should be removed during sleep to allow mucosal recovery and should be cleaned and stored appropriately. NHS guidance specifically advises removing dentures every night and permits overnight storage in denture-cleaning solution. B is wrong because toothpaste can damage denture materials. C is unsuitable because hot water may distort the denture and is not the recommended cleaning approach. D has no role in treating candidal denture stomatitis. E perpetuates the relevant risk factor and is therefore contraindicated.

Reference: NHS. Dentures (false teeth), "How to look after your dentures". Last reviewed 19 March 2025. https://www.nhs.uk/tests-and-treatments/dentures/